[Technical Field]
[0001] The present invention relates to a patch and a method for producing the same.
[Background Art]
[0002] Heretofore, various patches have been developed in order to improve the skin permeability
of a drug contained in the patches. For example, patches are known on which attempts
are made to improve the skin permeability of a drug by making the drug itself into
a free form. As an example of such patches, Japanese Unexamined Patent Application
PublicationNo.
Sho 62-126119 (PTL1) discloses a patch using a combination of an organic acid and a non-steroidal
anti-inflammatory analgesic agent having a salt form of an alkali metal in order to
improve the solubility of the drug.
[0003] Moreover, patches are known on which attempts are made to improve the skin permeability
of a drug by incorporating an organic acid and/or an organic acid salt together with
the drug. For example, International Publication No.
WO01/07018 (PTL 2) discloses a patch containing a basic drug, an organic acid, and an organic
acid salt. PTL 2 discloses acetic acid, lactic acid, and the like as the organic acid,
and sodium acetate and the like as the organic acid salt.
[0004] However, such patches as disclosed in the cited literatures 1 and 2 have problems
that an organic acid added at the time of production is likely to volatilize, accordingly
decreasing the production stability, and that the skin permeability decreases over
time as a result of the organic acid volatilization. Further, for example, International
Publication No.
WO2005/115355 (PTL 3) discloses a patch containing a basic drug and a volatile organic acid, and
discloses that the patch further contains an organic acid salt in consideration of
the amount of the organic acid to be lost by volatilization. Nevertheless, even such
a patch is still insufficient in production stability, skin permeability, and stability
over time of the skin permeability.
[0005] Meanwhile, asenapine is a compound known as a drug for use in the treatment of central
nervous system diseases, particularly schizophrenia. Patches containing asenapine
are disclosed, for example, in International Publication No.
WO2010/127674 (PTL 4) and so forth.
[Citation List]
[Patent Literature]
[Summary of Invention]
[Technical Problems]
[0007] However, the present inventors have found that conventional patches containing asenapine
have the following problems. Specifically, the skin permeability of asenapine is so
low that the application area on skin have to be large in order to achieve a therapeutically
effective blood concentration of asenapine; and asenapine is not used effectively
due to its low use efficiency. Furthermore , the present inventors have found problems
that blending of an organic acid and/or an organic acid salt as they are at the time
of production in order to improve the skin permeability of asenapine results in insufficient
stability over time of the skin permeability, and large variation in the skin permeability
among pharmaceutical preparations to be obtained.
[0008] The present invention has been made in view of the problems of the conventional techniques,
and an object of the present invention is to provide a patch and a method for producing
the same, the patch having a sufficiently high skin permeability of asenapine without
incorporating an organic acid in an adhesive agent layer, and being excellent in production
stability and stability over time of the skin permeability.
[Solution to Problems]
[0009] The present inventors have conducted earnest study to achieve the above object. As
a result, the inventors have found the following. Specifically, in a method for producing
a patch comprising a support layer and an adhesive agent layer, asenapine or a pharmaceutically
acceptable salt thereof is mixed with sodium acetate having whose particle diameter
D
50 at a cumulative volume of 50% in a particle diameter distribution is within a particular
range , in such a manner that the particle diameter D
50 becomes equal to or smaller than a particular size. This makes it possible to generate
(synthesize) sodium diacetate from the sodium acetate, and to stably incorporate the
sodium diacetate and the asenapine or pharmaceutically acceptable salt in the adhesive
agent layer of the obtained patch. Moreover, the inventors have found that the patch
thus obtained, that is, the patch comprising the adhesive agent layer containing the
sodium diacetate and the asenapine or pharmaceutically acceptable salt, has a sufficiently
high skin permeability of asenapine without incorporating an organic acid in the adhesive
agent layer, and also that the skin permeability is kept sufficiently high for a long
period. These findings have led to the completion of the present invention.
[0010] Specifically, a method for producing a patch of the present invention is a method
for producing a patch comprising a support layer and an adhesive agent layer, characterized
in that the method comprises:
a mixture preparation step of mixing asenapine or a pharmaceutically acceptable salt
thereof with sodium acetate whose particle diameter D50 at a cumulative volume of 50% in a particle diameter distribution is 40 to 1000 µm,
in such a manner that the sodium acetate and sodium diacetate generated (synthesized)
from the sodium acetate have a particle diameter D50 of 10 µm or smaller, thereby obtaining a mixture containing the sodium diacetate
and the asenapine or pharmaceutically acceptable salt; and
an adhesive-agent-layer formation step of forming the adhesive agent layer comprising
the sodium diacetate, the asenapine or pharmaceutically acceptable salt, and a pressure-sensitive
adhesive base agent, by using an adhesive agent layer composition obtained by mixing
the mixture with the pressure-sensitive adhesive base agent.
[0011] In the method for producing a patch of the present invention, in measuring the obtained
adhesive agent layer by an X-ray diffraction method, a peak intensity derived from
the sodium diacetate is preferably higher than a peak intensity derived from the sodium
acetate.
[0012] Moreover, in the method for producing a patch of the present invention, the pharmaceutically
acceptable salt of asenapine is preferably asenapine maleate; preferably, no acetic
acid is added to the adhesive agent layer composition.
[0013] Further, in the method for producing a patch of the present invention, the adhesive
agent layer composition preferably further comprises isopropyl palmitate; more preferably,
a mass ratio of the asenapine and/or pharmaceutically acceptable salt to the isopropyl
palmitate (a mass of the asenapine and/or pharmaceutically acceptable salt in terms
of free asenapine:a mass of the isopropyl palmitate) is 1:0.1 to 1:10.
[0014] A patch of the present invention is a patch comprising a support layer and an adhesive
agent layer, characterized in that the patch is obtained by the method for producing
a patch of the present invention.
[Advantageous Effects of Invention]
[0015] The present invention makes it possible to provide a patch and a method for producing
the same, the patch having a sufficiently high skin permeability of asenapine without
incorporating an organic acid in an adhesive agent layer, and being excellent in stability
over time of the skin permeability.
[0016] Moreover, the method for producing a patch of the present invention has no need for
adding an organic acid such as acetic acid at the time of production, hence making
it possible to reduce the variation in the skin permeability of the drug among pharmaceutical
preparations to be obtained.
[Brief Description of Drawings]
[0017]
[Fig. 1] Fig. 1 is a graph showing particle diameter distributions of sodium acetate
before mixing and of mixtures obtained in Example 1 and Comparative Example 2.
[Fig. 2] Fig. 2 is a graph showing particle diameter distributions of mixtures obtained
in Example 1 and Comparative Example 3.
[Fig. 3] Fig. 3 is a graph showing skin permeation rates of asenapine in patches obtained
in Example 1 and Comparative Examples 1 and 2.
[Fig. 4] Fig. 4 is a graph showing cumulative skin permeation amounts of asenapine
in the patches obtained in Example 1 and Comparative Examples 1 and 2.
[Fig. 5] Fig. 5 is a graph showing skin permeation rates of asenapine in patches obtained
in Examples 2, 5 to 11.
[Fig. 6] Fig. 6 is a graph showing skin permeation rates of asenapine in patches obtained
in Examples 2 to 4.
[Description of Embodiments]
[0018] Hereinafter, the present invention will be described in detail based on preferred
embodiments thereof. First of all, a method for producing a patch of the present invention
will be described.
[0019] The method for producing a patch of the present invention is a method for producing
a patch comprising a support layer and an adhesive agent layer, characterized in that
the method comprises:
a mixture preparation step of mixing asenapine or a pharmaceutically acceptable salt
thereof with sodium acetate whose particle diameter D50 at a cumulative volume of 50% in a particle diameter distribution is 40 to 1000 µm,
in such a manner that the sodium acetate and sodium diacetate generated from the sodium
acetate have a particle diameter D50 of 10 µm or smaller, thereby obtaining a mixture containing the sodium diacetate
and the asenapine or pharmaceutically acceptable salt; and
an adhesive-agent-layer formation step of forming the adhesive agent layer comprising
the sodium diacetate, the asenapine or pharmaceutically acceptable salt, and a pressure-sensitive
adhesive base agent, by using an adhesive agent layer composition obtained by mixing
the mixture with the pressure-sensitive adhesive base agent.
<Mixture Preparation Step>
[0020] In the method for producing a patch of the present invention, first, asenapine or
a pharmaceutically acceptable salt thereof is mixed with sodium acetate whose particle
diameter D
50 at a cumulative volume of 50% in a particle diameter distribution is 40 to 1000 µm,
in such a manner that the sodium acetate and sodium diacetate generated from the sodium
acetate have a particle diameter D
50 of 10 µm or smaller. Thus, a mixture is obtained which contains the sodium diacetate
and the asenapine or pharmaceutically acceptable salt.
[0021] Normally, sodium diacetate can be obtained through crystallization after acetic acid
and sodium acetate are mixed in water at a mole ratio (the number of moles of acetic
acid: the number of moles of sodium acetate) of 1:1 and the water then is removed.
The present inventors have found that sodium diacetate can be generated from sodium
acetate by mixing the sodium acetate with asenapine or a pharmaceutically acceptable
salt thereof under the particular conditions. Further, the inventors have found that
incorporating sodium diacetate thus generated into an adhesive agent layer of a patch
makes it possible to obtain a patch having a sufficiently high skin permeability of
asenapine. Furthermore, the inventors have found that a patch can be produced without
using acetic acid and water, so that it is possible to suppress reductions in performances
of the obtained patch, such as a reduction in decomposition of a drug or the like
in the production process, a reduction in the stability over time during the storage,
and a reduction in the skin permeability over time.
Asenapine
[0022] The asenapine according to the present invention refers to trans-5-chloro-2-methyl-2,3,3a,12b-tetrahydro-1H-diben
z[2,3:6,7]oxepino[4,5-c]pyrrole, and is known as a drug for use normally in the treatment
of central nervous system diseases, particularly schizophrenia. Such asenapine may
be in a free form, a pharmaceutically acceptable salt thereof, or a mixture of these.
Nevertheless, preferable is a pharmaceutically acceptable salt of asenapine, and more
preferable is a pharmaceutically acceptable acid addition salt of asenapine, from
the viewpoints that the storage stability is excellent and that the change in color
of the adhesive agent layer due to decomposition of asenapine is suppressed, and from
the viewpoint that the irritation to skin is suppressed. Generally, the drug is preferably
in a free form from the viewpoint that the skin permeability is improved. Nonetheless,
in the present invention, an excellent skin permeability of asenapine is exhibited
even in a patch obtained using asenapine in a salt form as described above.
[0023] Examples of an acid in the pharmaceutically acceptable acid addition salt of asenapine
include monobasic acids such as hydrochloric acid, hydrobromic acid, and methanesulfonic
acid; and polybasic acids such as fumaric acid, maleic acid, citric acid, and tartaric
acid. Among these, preferable is hydrochloric acid or polybasic acids such as maleic
acid, fumaric acid, citric acid, and tartaric acid, and more preferable is maleic
acid, from the viewpoint that the skin permeability of asenapine is further improved.
[0024] Moreover, the average particle diameter of the asenapine or pharmaceutically acceptable
salt according to the present invention is not particularly limited, but is preferably
3 to 50 µm. Note that the average particle diameter of the asenapine or pharmaceutically
acceptable salt can be obtained by an ordinary method in an image analysis using an
optical microscope or measurement using a particle diameter distribution analyzer.
In addition, in the case of employing the image analysis, the particle diameter means
the maximum diameter in a cross section of a particle; in a case where a particle
does not have a circular cross section, the particle diameter means a distance between
two points on the border line of the cross section of the particle, the distance between
the two points being selected such that the distance is the largest.
Sodium Acetate
[0025] The sodium acetate according to the present invention has to have a particle diameter
D
50 of 40 to 1000 µm before mixing with the asenapine or pharmaceutically acceptable
salt, where D
50 denotes a particle diameter at a cumulative volume of 50% in a particle diameter
distribution. If the particle diameter D
50 of the sodium acetate is less than the lower limit, sodium diacetate cannot be generated
sufficiently. Moreover, an additional grinding step is required in some cases to make
the particle diameter of the sodium acetate within the particle-diameter range, increasing
the production cost. On the other hand, if the particle diameter D
50 exceeds the upper limit, the time required for the mixing and the production cost
are increased, and sodium diacetate cannot be generated sufficiently. Further, such
a particle diameter D
50 of the sodium acetate before mixing is particularly preferably 40 to 700 µm, and
is preferably 10 to 1000% larger than the particle diameter D
50 of the sodium acetate after mixing and sodium diacetate generated from the sodium
acetate, from the viewpoint that sodium diacetate tends to be generated more efficiently
and in a sufficient amount.
[0026] Such sodium acetate only needs to have a particle diameter within the above-described
range, and ones generally marketed can be used as appropriate. Sodium acetate is normally
marketed in the form of hydrous or anhydrous crystal, and any of the two may be used.
Nevertheless, the number of crystallized water in the sodium acetate is preferably
small, and anhydrous crystal is more preferable, from the viewpoint of preventing
incidences such as crystal precipitation during the storage, color change, and a decrease
in skin permeability in the patch when the sodium acetate is contained in the adhesive
agent layer.
[0027] Note that, in the present invention, the particle diameter distribution of the sodium
acetate can be obtained by performing a measurement on a dispersion solution in which
the sodium acetate is dispersed in ethyl acetate, the measurement performed according
to a laser light scattering method (instrument used: laser light scattering particle
diameter distribution analyzer (manufactured by Otsuka Electronics Co., Ltd., DLS-7000
model), Ar laser output: 75 mW).
[0028] A mixing ratio between the sodium acetate and the asenapine and/or pharmaceutically
acceptable salt (the number of moles of the sodium acetate:a total number of moles
of the asenapine and pharmaceutically acceptable salt) is preferably 1.5:1 to 6:1,
more preferably 4:1. In both cases where the amount of the sodium acetate is less
than the lower limit and where the amount exceeds the upper limit, the amount of sodium
diacetate generated is decreased, and it tends to be difficult to obtain a patch having
a sufficiently high skin permeability of asenapine.
[0029] The mixing is carried out in such a manner that the sodium acetate and the sodium
diacetate generated from the sodium acetate are made to have a particle diameter D
50 of 10 µm or smaller by the mixing. If the particle diameter D
50 exceeds the upper limit, sodium diacetate is not generated sufficiently. In the present
invention, the particle diameter D
50 of the sodium acetate and the sodium diacetate is a particle diameter at a cumulative
volume of 50% in a particle diameter distribution of a combination of the sodium acetate
with the sodium diacetate. In a case where the sodium acetate does not remain due
to the synthesis of the sodium diacetate, the particle diameter
D50 is a particle diameter at a cumulative volume of 50% in a particle diameter distribution
of the sodium diacetate.
[0030] Such a particle diameter distribution can be obtained by measuring the particle diameter
of an insoluble component in a dispersion solution which is obtained by adding a mixture
obtained by mixing the sodium acetate with the asenapine and/or pharmaceutically acceptable
salt into ethyl acetate, the measurement performed according to a laser light scattering
method (instrument used: laser light scattering particle diameter distribution analyzer
(manufactured by Otsuka Electronics Co., Ltd., DLS-7000 model), Ar laser output: 75
mW). Note that such a measurement method makes it possible to obtain the particle
diameter D
50 in a particle diameter distribution of the mixture from which the asenapine and pharmaceutically
acceptable salt are excluded, that is, the particle diameter D
50 of the sodium diacetate and the sodium acetate (if remaining) because asenapine and
a pharmaceutically acceptable salt thereof are dissolved in ethyl acetate, so that
the particle diameters of these are not reflected in the particle diameter distribution
of the dispersion solution.
[0031] As the method for mixing the asenapine or pharmaceutically acceptable salt with the
sodium acetate as described above, contact-mixing or grinding mixing is exemplified.
The contact-mixing means mixing by which sodium acetate and asenapine or a pharmaceutically
acceptable salt thereof are brought into contact with each other, receiving an impact
from each other. The grinding mixing means mixing by which sodium acetate and asenapine
or a pharmaceutically acceptable salt thereof receives an impact from each other while
being ground.
[0032] Examples of the contact-mixing include methods in which the asenapine or pharmaceutically
acceptable salt and the sodium acetate are placed in a vessel and mixed using a propeller
mixer, a paddle mixer, an anchor mixer, a planetary mixer, a V blender (V-Shell),
a Henschel mixer, or the like under low shear at a shear rate of approximately 1 to
1000 seconds
-1. Among these, a propeller mixer, a V blender, or a Henschel mixer is preferably used
in the contact-mixing. Moreover, for example, in the case where the propeller mixer
is used in such contact-mixing, it is preferable to perform mixing in such a manner
as not to volatilize a solvent added as necessary, which will be described later,
in a vessel having a capacity of 10 mL to 5000 L (the volume of the mixture: 10 mL
to 5000 L), for a period of 30 to 120 minutes with the number of revolutions of 50
to 200 rpm.
[0033] Examples of the grinding mixing include methods in which the asenapine or pharmaceutically
acceptable salt and the sodium acetate are placed in a vessel and mixed using a mortar
and pestle mill, a rotary grinding mill, a ball mill, a rolling mill, a vibration
mill, a buhrstone mill, a coffee mill-type mill, a homogenizer, a jet mill, or the
like. Among these, a homogenizer is preferably used in the grinding mixing. In the
case where such a homogenizer is used, it is preferable to perform mixing in such
a manner as not to volatilize a solvent added as necessary, which will be described
later, in a vessel having a capacity of 10 mL to 5000 L (the volume of the mixture:
10 mL to 5000 L) for 30 to 120 minutes.
[0034] In the contact-mixing and the grinding mixing, a solvent may be further added as
necessary to the asenapine or pharmaceutically acceptable salt thereof and the sodium
acetate. Examples of such a solvent include toluene, ethanol, methanol, ethyl acetate,
and the like. One of these may be used alone, or two or more thereof may be used in
combination. When the solvent is added, the amount added is preferably 50% by mass
or less relative to the entire resulting adhesive agent layer composition in consideration
of the compatibility with a pressure-sensitive adhesive base agent to be described
later, although the amount cannot be generalized because it depends also on the mixing
method employed. Moreover, in the contact-mixing and the grinding mixing, a softener
to be described later may be further added.
[0035] Such mixing makes it possible to generate sodium diacetate from the sodium acetate.
The resulting mixture contains the asenapine or pharmaceutically acceptable salt and
the sodium diacetate, and may further contain the solvent and a residue of the sodium
acetate used for the synthesis of the sodium diacetate. In the case where the sodium
acetate is contained, a content thereof is preferably 10% by mass or less, more preferably
5% by mass or less, relative to the entire resulting adhesive agent layer from the
viewpoint of preventing a decrease in the stability of the patch as a pharmaceutical
preparation. In the present invention, even if the content of the sodium acetate is
less than the lower limit, an excellent skin permeability of asenapine is exhibited.
[0036] In the present invention, whether sodium diacetate is generated can be checked by
observing a decrease in a peak intensity derived from sodium acetate and an appearance
of a peak derived from sodium diacetate in a measurement by an X-ray diffraction method
(X ray: CuKα). In the present invention, from the viewpoint that the stability of
the pharmaceutical preparation and the stability over time of the skin permeability
of asenapine in the patch are further improved, in measuring the obtained adhesive
agent layer by the X-ray diffraction method, a peak intensity derived from the sodium
diacetate is preferably higher than a peak intensity derived from the sodium acetate.
Moreover, according to the production method of the present invention, even if an
organic acid salt other than sodium diacetate is contained, incorporating generated
sodium diacetate into the adhesive agent layer makes it possible to obtain a patch
having a sufficiently high skin permeability of asenapine, an excellent stability
over time of the skin permeability, and reduced variation in the skin permeability
among these pharmaceutical preparations. More preferably, no peak intensity derived
from the sodium acetate is observed from the viewpoints of further improving the stability
over time of the pharmaceutical preparation obtained by suppressing the synthesis
of volatile acetic acid, and further reducing the variation in the skin permeability
among these pharmaceutical preparations. Note that the sodium diacetate may be in
a dissolved state.
<Adhesive-Agent-Layer Formation Step>
[0037] In the method for producing a patch of the present invention, next, the adhesive
agent layer comprising the sodium diacetate, the asenapine or pharmaceutically acceptable
salt, and a pressure-sensitive adhesive base agent is formed, by using an adhesive
agent layer composition obtained by mixing the mixture with the pressure-sensitive
adhesive base agent.
[0038] The adhesive agent layer composition according to the present invention comprises
the pressure-sensitive adhesive base agent and the mixture containing the sodium diacetate,
the asenapine or pharmaceutically acceptable salt, and, as necessary, the sodium acetate
and/or the solvent.
[0039] The content of the sodium diacetate is preferably 0.3 to 10% by mass, more preferably
0.5 to 6.0% by mass, relative to the entire resulting adhesive agent layer. If the
content of the sodium diacetate is less than the lower limit, the skin permeability
of asenapine tends to be decreased. On the other hand, if the content exceeds the
upper limit, a local adverse effect such as skin irritation tends to occur.
[0040] Note that the content of the sodium diacetate in the obtained adhesive agent layer
can be obtained based on: the number of moles of the sodium acetate used as the raw
material; and a peak ratio between a peak intensity derived from the sodium diacetate
and a peak intensity derived from the sodium acetate, which are measured by an X-ray
analysis.
[0041] Moreover, in the patch of the present invention, a mole ratio of the asenapine and/or
pharmaceutically acceptable salt to the sodium diacetate, that is, a ratio of a total
number of moles of the asenapine and pharmaceutically acceptable salt to the number
of moles of the sodium diacetate (the number of moles of the asenapine and/or pharmaceutically
acceptable salt : the number of moles of the sodium diacetate) in the obtained adhesive
agent layer is preferably 1:0.5 to 1:4, more preferably 1:0.75 to 1:2. If the content
of the sodium diacetate is less than the lower limit, the effect of improving the
skin permeability of asenapine owing to the sodium diacetate incorporated in the adhesive
agent layer tends not to be exhibited sufficiently. On the other hand, if the content
exceeds the upper limit, adhesive properties such as tackiness and adhesive force
to skin tend to be decreased.
[0042] Meanwhile, a total content of the asenapine and/or pharmaceutically acceptable salt
cannot be generalized because it depends on the treatment target and purpose. Nevertheless,
a total of a mass of the asenapine and a mass of the pharmaceutically acceptable salt
in terms of free asenapine is preferably 1 to 15% by mass, more preferably 1.5 to
12% by mass, and further preferably 2 to 10% by mass, relative to the entire resulting
adhesive agent layer. If the total content of the asenapine and pharmaceutically acceptable
salt is less than the lower limit, the skin permeation amount tends to be decreased,
so that the area of the patch needs to be increased, On the other hand, if the total
content exceeds the upper limit, a local adverse effect such as skin irritation tends
to occur, or adhesive properties such as tackiness and adhesive force to skin tend
to be decreased.
Pressure-Sensitive Adhesive Base Agent
[0043] The adhesive agent layer composition according to the present invention is obtained
by further mixing the mixture with at least a pressure-sensitive adhesive base agent.
Such a mixing method is not particularly limited. Examples of the pressure-sensitive
adhesive base agent include (meth)acrylic ester (co)polymers, rubber-based adhesive
agents, silicone polymers, polyurethane-based adhesive agents, and the like. One of
these may be used alone, or two or more thereof may be used in combination.
[0044] The (meth)acrylic ester (co)polymers are (co)polymers containing acrylic ester and/or
methacrylic ester as a main monomer unit(s) and, if necessary, a secondary monomer
copolymerized therewith. Examples of the main monomer include methyl (meth)acrylate,
ethyl (meth)acrylate, butyl (meth)acrylate, hexyl (meth)acrylate, heptyl (meth)acrylate,
octyl (meth)acrylate, 2-ethylhexyl (meth)acrylate, and the like. One of these may
be used alone, or two or more thereof may be used in combination. From the viewpoint
that the adhesion of the patch becomes more excellent, 2-ethylhexyl (meth) acrylate
ispreferablyused. Further, the secondary monomer is not particularly limited. Examples
thereof include N-vinyl-2-pyrrolidone, methylvinyl pyrrolidone, (meth)acrylic acid,
vinyl acetate, and the like.
[0045] Examples of the rubber-based adhesive agents include natural rubbers, polyisobutylene,
alkyl vinyl ether (co)polymers, polyisoprene, polybutadiene, styrene-butadiene copolymers,
styrene-isoprene copolymers, styrene-isoprene-styrene block copolymers, and the like.
One of these may be used alone, or two or more thereof may be used in combination.
[0046] In the adhesive agent layer composition according to the present invention, the pressure-sensitive
adhesive base agent is preferably at least one selected from the group consisting
of styrene-isoprene-styrene block copolymers, (meth)acrylic ester (co)polymers, polyisobutylene,
and silicone polymers, from the viewpoints that the adhesion and the skin permeability
of a drug including asenapine tend to be further improved. More preferably, a styrene-isoprene-styrene
block copolymer is used alone, or a styrene-isoprene-styrene block copolymer and polyisobutylene
are used in combination.
[0047] The content of such a pressure-sensitive adhesive base agent is such that a total
content of the pressure-sensitive adhesive base agents is preferably 10 to 95% by
mass, more preferably 13 to 85% by mass, relative to the entire resulting adhesive
agent layer. If the total content of the pressure-sensitive adhesive base agents is
less than the lower limit, the adhesiveness of the obtained patch to skin tends to
be decreased. On the other hand, if the total content exceeds the upper limit, the
skin permeation amount of asenapine is decreased, so that the blood concentration
tends to be insufficient.
Additive etc.
[0048] The adhesive agent layer composition according to the present invention may further
comprise, as necessary, additives such as a tackifier, a softener, a stabilizer, and
an absorption enhancer (permeation enhancer), unless the effects of the present invention
are not impaired.
[0049] Examples of the tackifier include alicyclic saturated hydrocarbon resins; rosin derivatives
such as rosin, rosin glycerin ester, hydrogenated rosin, hydrogenated rosin glycerin
ester, rosin pentaerythritol ester, and maleic rosin; terpene-based tackifier resins;
petroleum-based tackifier resins; and the like. One of these may be used alone, or
two or more thereof may be used in combination. In the present invention, petroleum-based
tackifier resins are preferably used from the viewpoints of pharmaceutical physical
properties such as cohesion and adhesion. In the case where the adhesive agent layer
composition according to the present invention comprises such a tackifier, a mass
ratio of a content of the tackifier to the total content of the pressure-sensitive
adhesive base agents in the obtained adhesive agent layer (a total mass of the pressure-sensitive
adhesive base agents:a mass of the tackifier) is preferably 1:6 to 1.5:1 (more preferably
1:5 to 1:1). If the content of the tackifier is less than the lower limit, the adhesive
force of the obtained patch to skin tends to be decreased. On the other hand, if the
content exceeds the upper limit, the cohesive force of the obtained adhesive agent
layer tends to be decreased, and, the pain during peeling off tends to be increased.
[0050] Examples of the softener include paraffin oils such as liquid paraffin; animal oils
such as squalane and squalene; vegetable oils such as almond oil, olive oil, camellia
oil, castor oil, tall oil, and peanut oil silicone oils; liquid rubbers such as polybutene
and polyisoprene; and the like. One of these may be used alone, or two or more thereof
may be used in combination. In the present invention, from the viewpoints of pharmaceutical
physical properties, liquid paraffin is preferably used. In the case where the adhesive
agent layer composition according to the present invention comprises such a softener,
a mass ratio of a content of the softener to the total content of the pressure-sensitive
adhesive base agents in the obtained adhesive agent layer (the total mass of the pressure-sensitive
adhesive base agents:a mass of the softener) is preferably 1:6 to 5:1 (more preferably
1:4 to 3:1). If the content of the softener is less than the lower limit, the adhesive
force of the obtained patch to skin tends to be decreased. On the other hand, if the
content exceeds the upper limit, the cohesive force of the obtained adhesive agent
layer tends to be decreased, and the adhesive agent layer or stickiness tends to remain
on skin after peeling off.
[0051] Examples of the stabilizer that can be suitably used include tocopherol and ester
derivatives thereof , ascorbic acid and ester derivatives thereof, dibutylhydroxytoluene,
butylhydroxyanisole, and the like. One of these may be used alone, or two or more
thereof may be used in combination. In the present invention, from the viewpoints
of pharmaceutical physical properties, appearance, and drug-stabilizing effect, dibutylhydroxytoluene
is more preferably used. In the case where the adhesive agent layer composition according
to the present invention comprises such a stabilizer, a content thereof is preferably
0.1 to 3% by mass relative to the entire resulting adhesive agent layer. If the content
of the stabilizer is less than the lower limit, the stability of each component in
the patch tends to be decreased. On the other hand, if the content exceeds the upper
limit, the cohesive force of the adhesive agent layer tends to be decreased.
[0052] Examples of the absorption enhancer that can be suitably used include aliphatic alcohols
such as isostearyl alcohol; fatty acids such as capric acid; fatty acid derivatives
such as propylene glycol monolaurate, isopropyl myristate, isopropyl palmitate, and
lauric acid diethanolamide; glycols such as propylene glycol and polyethylene glycol;
and the like. One of these may be usedalone, or two or more thereof maybe used in
combination. In the present invention, from the viewpoint that the skin permeability
of asenapine tends to be improved remarkably, propylene glycol monolaurate and isopropyl
palmitate are preferably used, and isopropyl palmitate is more preferably used. In
the case where the adhesive agent layer composition according to the present invention
comprises such an absorption enhancer, a content thereof is preferably 2 to 40% by
mass relative to the entire resulting adhesive agent layer. If the content of the
absorption enhancer is less than the lower limit, the skin permeability of a drug
tends to be decreased. On the other hand, if the content exceeds the upper limit,
the absorption enhancer is separated from the adhesive agent layer, so that the adhesion
of the adhesive agent layer tends to be impaired. In the case where the absorption
enhancer is the propylene glycol monolaurate, a content thereof is more preferably
3 to 10% by mass relative to the entire resulting adhesive agent layer.
[0053] Moreover, in the adhesive agent layer composition according to the present invention,
isopropyl palmitate is particularly preferably used among the absorption enhancers,
from the viewpoints of achieving a therapeutically effective level of plasma concentration
of asenapine which is higher than ever achieved, and making it possible to sufficiently
suppress the plasma concentration of an asenapine metabolite, too.
[0054] The present inventors have found that incorporating a combination of asenapine and/or
a pharmaceutically acceptable salt thereof, isopropyl palmitate, and an adhesive base
agent into an adhesive agent layer to be obtained enables the skin permeability of
asenapine to be higher than ever achieved, and makes it possible to achieve a therapeutically
effective level of plasma concentration of asenapine which is sufficiently higher
than ever achieved. Further, the inventors have found that administrating asenapine
using such a patch can sufficiently suppress the plasma concentration of an asenapine
metabolite.
[0055] In the case where the adhesive agent layer composition according to the present invention
comprises the isopropyl palmitate, a content thereof is preferably 2 to 15% by mass,
more preferably 5 to 12% by mass, relative to the entire resulting adhesive agent
layer. If the content of the isopropyl palmitate is less than the lower limit, the
effect of further improving the plasma concentration of asenapine tends not to be
obtained, and it tends to be difficult to sufficiently suppress the amount of an asenapine
metabolite in plasma. On the other hand, if the content exceeds the upper limit, a
local adverse effect such as skin irritation tends to occur.
[0056] Moreover, in the case where the adhesive agent layer composition according to the
present invention comprises the isopropyl palmitate, a mass ratio of the asenapine
and/or pharmaceutically acceptable salt to the isopropyl palmitate, that is, a ratio
of the total of the mass of the asenapine and the mass of the pharmaceutically acceptable
salt in terms of free asenapine to a mass of the isopropyl palmitate (the mass of
the asenapine and/or pharmaceutically acceptable salt thereof in terms of free asenapine:the
mass of the isopropyl palmitate) in the obtained adhesive agent layer is preferably
1:0.1 to 1:10, more preferably 1:0.5 to 1:5. If the content of the isopropyl palmitate
is less than the lower limit, the effect of further improving the plasma concentration
of asenapine tends not to be obtained, and it tends to be difficult to sufficiently
suppress the amount of an asenapine metabolite in plasma. On the other hand, if the
content exceeds the upper limit, a local adverse effect such as skin irritation tends
to occur.
[0057] Further, in the case where the adhesive agent layer composition according to the
present invention comprises these additives, the total content is preferably 85% by
mass or less relative to the entire resulting adhesive agent layer.
[0058] Furthermore, the adhesive agent layer composition according to the present invention
may further comprise acetic acid. However, in the present invention, preferably no
acetic acid is added from the viewpoints that the obtained patch has a skin permeability
kept sufficiently high for a long period, and that the irritation to skin is suppressed.
According to the present invention, a patch having a sufficiently high skin permeability
can be obtained without adding acetic acid as described above. Hence, it is possible
to reduce the variation in the skin permeability of the drug among pharmaceutical
preparations to be obtained.
[0059] In addition, the adhesive agent layer composition according to the present invention
preferably comprises substantially no water. Since the adhesive agent layer composition
according to the present invention is constituted mainly of hydrophobic components
, if the water content exceeds 10% by mass, water is separated from the adhesive agent
layer, so that the adhesion of the adhesive agent layer tends to be impaired. Here,
the phrase comprises substantially no water means that no water is intentionally added
at the time of production, and that the water content determined by a measurement
according to the Karl Fischer's method based on The Japanese Pharmacopoeia is less
than 10% relative to the entire resulting adhesive agent layer.
[0060] The method for forming the adhesive agent layer according to the present invention
is not particularly limited, and conventionally known methods can be employed as appropriate.
An example thereof includes a method in which the adhesive agent layer composition
is applied onto one surface of a support layer to a desired thickness (normally, the
thickness after drying is approximately 10 to 1000 µm), followed by, as necessary,
heating and drying to remove a solvent, and the resultant cut into a desired size.
[0061] The support layer is not particularly limited, and conventionally known ones can
be used as appropriate. Examples of the material of such a support layer include synthetic
resins such as polyethylene, polypropylene, polybutadiene, ethylene-vinyl acetate
copolymers, vinyl acetate-vinyl chloride copolymers, polyvinyl chloride, polyamides
such as nylons, polyesters, cellulose derivatives, polyurethane, and other similar
materials. Examples of the form of the support layer include films; sheets; sheet
- shaped porous articles; sheet-shaped foamed articles; fabrics such as woven fabrics,
knitted fabrics, and nonwoven fabrics; laminates thereof; and the like. In the present
invention, the thickness of the support layer is not particularly limited, but normally
a preferable thickness is approximately 2 to 3000 µm.
[0062] The heating conditions can be selected as appropriate, depending on the solvent.
The temperature condition is preferably normally 60 to 120°C, and the heating period
is preferably normally 2 to 30 minutes.
[0063] The method for producing a patch of the present invention makes it possible to obtain,
as described above, the patch of the present invention comprising: a support layer;
and an adhesive agent layer comprising the sodium diacetate and the asenapine and/or
pharmaceutically acceptable salt.
[0064] Moreover, the method for producing a patch of the present invention may further comprise
a step of laminating a release liner layer on a surface of the adhesive agent layer,
the surface being opposite to the support layer. The release liner only needs to be
capable of covering the adhesive agent layer before the patch is used, and removable
by releasing when used. Examples of the release liner include polyesters such as polyethylene
terephthalate and polyethylene naphthalate; polyolefins such as polyethylene and polypropylene;
polyvinyl chloride; polyvinylidene chloride; celluloses or derivatives thereof such
as paper; and nylons, aluminium, and the like in a film form. Moreover, from the viewpoint
of facilitating the releasing from the adhesive agent layer, such a release liner
used is preferably subj ected to surface coating (releasing process) using a release
agent such as silicone or a fluorinated resin (Teflon(registered trademark)) or the
like).
[0065] In the case where the release liner layer is further laminated in the method for
producing a patch of the present invention, the adhesive-agent-layer formation step
may include: first, applying the adhesive agent layer composition onto one surface
of the release liner layer to form an adhesive agent layer; and then laminating the
support layer on a surface of the adhesive agent layer, the surface being opposite
to the release liner layer.
[0066] Next, the patch of the present invention will be described. The patch of the present
invention is a patch comprising the support layer and the adhesive agent layer, and
can be obtained by the above-described method for producing a patch of the present
invention. The patch is characterized that: the adhesive agent layer comprises the
sodium diacetate, the asenapine and/or pharmaceutically acceptable salt, and the pressure-sensitive
adhesive base agent; the sodium diacetate is generated from sodium acetate by mixing
the asenapine or pharmaceutically acceptable salt with the sodium acetate whose particle
diameter D
50 at a cumulative volume of 50% in a particle diameter distribution is 40 to 1000 µm;
and the mixing is carried out in such a manner that the sodium acetate and the sodium
diacetate generated from the sodium acetate in the obtained mixture are made to have
a particle diameter D
50 of 10 µm or smaller by the mixing.
[0067] In such a patch, the compositions and preferred contents of the sodium diacetate,
the asenapine and pharmaceutically acceptable salt, as well as the pressure-sensitive
adhesive base agent in the adhesive agent layer are as described above.
[0068] Further, the thickness of the adhesive agent layer according to the present invention
is not particularly limited, and is normally approximately 10 to 1000 µm. Furthermore,
the adhesive agent layer according to the present invention may further comprise a
residue of the sodium acetate used for the synthesis of the sodium diacetate, the
solvent, the additive, or the like, unless the effects of the present invention are
not impaired. Contents of these are as described above.
[0069] Moreover, in the case where the adhesive agent layer according to the present invention
comprises the isopropyl palmitate with the content of the asenapine and/or pharmaceutically
acceptable salt in terms of free asenapine in the adhesive agent layer being 3.4 mg
(the content of asenapine maleate: 4.8 mg), an area under plasma concentration-time
curve of the free asenapine between 2 and 120 hours for a period starting from the
time when the patch is brought into contact with skin for 24 hours, (AUC
2-120) can be 27,000 pg·hr/mL or more, more preferably 27,000 to 40,000 pg·hr/mL. Further,
such a patch can make the AUC
2-120 of an asenapine metabolite in this period 20% or less, more preferably 16% or less,
of the AUC
2-120 of the free asenapine.
[0070] The asenapine metabolite is a compound formed by metabolizing the asenapine and/or
pharmaceutically acceptable salt. An example thereof includes N-desmethyl asenapine
represented by the following formula (1):

The N-desmethyl asenapine does not have a drug action as asenapine does. The N-desmethyl
asenapine tends to cause adverse effects such as adverse effects on the cardiovascular
system in comparison with asenapine. For example, in a case where 5 mg of asenapine
maleate is orally administered (sublingual administration), the area under plasma
concentration-time curve of the free asenapine for a period between 10 minutes and
72 hours (AUC
0.17-72) can be 25,000 to 38,000 pg·hr/mL. In this case, N-desmethyl asenapine has an AUC
0.17-72 of 10,000 to 17,000 pg·hr/mL, which is 40% or more of the AUC
0.17-120 of the free asenapine. In contrast, when approximately the same amount (4.8 mg) of
asenapine is administrated using the patch of the present invention comprising the
isopropyl palmitate in the adhesive agent layer, this makes it possible to sufficiently
suppress the AUC of the asenapine metabolite while the free asenapine has an AUC equivalent
to that in the case of the oral administration.
[0071] Note that, in the present invention, an area under plasma concentration-time curve
(AUC) can be obtained specifically by the following method. First, 3.4 mg in mass
of asenapine and/or a pharmaceutically acceptable salt thereof in terms of free asenapine,
that is, a total of a mass of the asenapine and a mass of the pharmaceutically acceptable
salt in terms of free asenapine, in a pharmaceutical preparation is administrated
once. The blood is collected at predetermined intervals for a predetermined period
(in a case of a patch, a period between 2 hours and 120 hours after the patch is brought
into contact with skin (the application period is 24 hours)) to measure amounts of
the free asenapine and N-desmethyl asenapine in the plasma. Then, integrated values
of plasma concentration-time curves obtained with the x axis representing time and
the y axis representing plasma concentrations of the free asenapine and the N-desmethyl
asenapine are calculated, so that AUCs can be obtained.
[Examples]
[0072] Hereinafter, the present invention will be more specifically described on the basis
of Examples and Comparative Examples. However, the present invention is not limited
to the following Examples. Note that, in each of Examples and Comparative Examples,
particle diameter distribution determination, skin permeation test, X-ray analysis,
and AUC measurement test were respectively conducted by methods illustrated below.
(Particle Diameter Distribution Determination)
[0073] First, sodium acetate used in each of Examples and Comparative Examples before mixing
or a mixture obtained in each of Examples and Comparative Examples was added to ethyl
acetate to disperse an insoluble component. Then, a particle diameter distribution
curve was obtained by employing a laser light scattering method (instrument used:
laser light scattering particle diameter distribution analyzer (manufactured by Otsuka
Electronics Co., Ltd., DLS-7000 model), Ar laser output: 75 mW). Subsequently, from
the obtained particle diameter distribution, each of a particle diameter D
10 (µm) at a cumulative volume of 10%, a particle diameter D
50 (µm) at a cumulative volume of 50%, a particle diameter D
90 (µm) at a cumulative volume of 90%, a volume-average particle diameter (µm), and
a peak position were obtained.
(Skin Permeation Test)
[0074] First, a patch which had been cut into a 3-cm
2 circular shape and from which a release liner had been removed was applied to the
corneum side of skin excised from a hairless mouse. Then, the skin was set to a flow-through
diffusion cell kept at 32 °C, so that the dermis side of the skin was located on the
receptor chamber side. A phosphate buffer saline (32°C) was introduced into the receptor
chamber at a flow volume of approximately 3 ml per hour. Sample liquids were collected
from the receptor chamber every 2 hours or 4 hours for 24 hours. Each of the collected
sample liquids was quantified for the concentration of the drug (asenapine) by high-performance
liquid chromatography. A skin permeation amount of asenapine was calculated according
to the following formula:

From this, a skin permeation amount (skin permeation rate per hour (µg/cm
2/hr)) and a cumulative skin permeation amount (µg/cm
2) at each period were found. In addition, a cumulative skin permeation amount (µg/cm
2/24 hr) of the drug in 24 hours, that, until 24 hours elapsed from the start of the
measurement, was found. An availability ratio (%) of the drug was calculated according
to the following formula:

It can be understood that a patch having a high skin permeation rate and a large
cumulative skin permeation amount has a high skin permeability of the drug.
(X-ray Analysis)
[0075] First, an X-ray analysis was performed on sodium diacetate and sodium acetate as
reference samples. An appropriate amount of sodium diacetate or sodium acetate was
placed into a recess in a measurement glass plate, and the measurement surface was
adjusted to be flat. Then, the measurement was performed by employing an apparatus
and measurement conditions shown below:
apparatus : X' Pert-PRO (manufactured by Spectris Co., LTD.)
X ray: CuKα
scan angle: 5 to 50°
scan rate: 0.01°/min.
From the obtained spectra, peaks derived from the sodium diacetate were observed at
three positions of 2θ = 11.1°, 13.6°, and 22.3°; meanwhile, a peak derived from sodium
acetate was observed at one position of 2θ = 8.8°.
[0076] Then, the support layer side of a patch obtained in each of Examples and Comparative
Examples was fixed to a reflection-free plate with a double-sided adhesive tape. The
release liner was removed therefrom, exposing the adhesive agent layer. Thereby, a
measurement sample was prepared. An X-ray analysis was performed under the same conditions
as above. From the obtained spectra, a total of peak intensities at the three positions
(2θ: 11.1°, 13.6°, 22.3°) was set as a peak intensity derived from sodium diacetate;
meanwhile, a peak intensity at the one position (2θ: 8.8°) was set as a peak intensity
derived from sodium acetate.
(AUC Measurement Test)
[0077] First, a patch (content in terms of free asenapine: 3.4 mg) which had been cut into
8 cm
2 and from which a release liner had been removed was applied to the upper arm of each
of healthy adult men (18 people). The blood was collected every 4 hours for a period
between 2 hours and 120 hours after the patch was applied. The amounts of free asenapine
and N-desmethyl asenapine in the plasma were measured by high-performance liquid chromatography.
Note that the patch was peeled off 24 hours after the application. Then, plasma concentration-time
curves were created with the x axis representing time and the y axis representing
plasma concentrations of the free asenapine and the N-desmethyl asenapine. Average
values of integrated values between time 2 hours and 120 hours in the curves were
calculated; thereby, an area under plasma concentration-time curve (AUC
2-120 [pg·hr/mL]) of each of the free asenapine and the N-desmethyl asenapine was obtained.
(Example 1)
[0078] First, 6 parts by mass of sodium acetate, 7 parts by mass of asenapine maleate (average
particle diameter: 30 µm) (the number of moles of sodium acetate:the number of moles
of asenapine maleate=4:1), and 7 parts by mass of liquid paraffin together with 10
parts by mass of toluene were placed into a 50-mL vessel, and subjected to contact-mixing
at room temperature (25°C) for 120 minutes using a propeller mixer at 200 rpm. Thereby,
a mixture was obtained.
[0079] Then, to this mixture, 10 parts by mass of isopropyl palmitate (IPP), 18 parts by
mass of a styrene-isoprene-styrene block copolymer (SIS), 52 parts by mass of a petroleum-based
tackifier resin (trade name: ARKON, manufactured by Arakawa Chemical Industries, Ltd.),
and an appropriate amount of a solvent were added and mixed together. Thus, a homogeneous
adhesive agent layer composition was obtained. Table 1 shows the composition of the
adhesive agent layer composition (excluding the solvent such as toluene).
[0080] Subsequently, this adhesive agent layer composition was applied onto one surface
of a 75 µm-thick polyester film (release liner layer) having been subjected to a releasing
process in such a manner that the thickness after drying was 100 µm. Toluene was removed
by drying at 60°C for 20 minutes. Thus, an adhesive agent layer was formed. Thereafter,
a 25 µm-thick polyester film (support layer) was laminated on a surface of the adhesive
agent layer, the surface being opposite to the release liner layer, followed by cutting
to thus obtain a patch.
(Comparative Example 1)
[0081] A patch was obtained in the same manner as in Example 1, except that: sodium acetate
was not used, and the adhesive agent layer composition had a composition shown in
Table 1 (excluding the solvent such as toluene).
(Comparative Example 2)
[0082] First, 6 parts by mass of sodium acetate, 7 parts by mass of asenapine maleate (average
particle diameter: 30 µm), and 7 parts by mass of liquid paraffin together with 10
parts by mass of toluene were placed into a 50-mL vessel, and mixed at room temperature
(25°C) for 5 minutes using a propeller mixer with the number of revolutions of 50
rpm. Thereby, a mixture was obtained.
[0083] Then, to this mixture, 10 parts by mass of isopropyl palmitate (IPP), 18 parts by
mass of a styrene-isoprene-styrene block copolymer (SIS), 52 parts by mass of a petroleum-based
tackifier resin (trade name: ARKON, manufactured by Arakawa Chemical Industries, Ltd.),
and an appropriate amount of a solvent were added and mixed together. Thus, a homogeneous
adhesive agent layer composition was obtained. Table 1 shows the composition of the
adhesive agent layer composition (excluding the solvent such as toluene). Subsequently,
a patch was obtained in the same manner as in Example 1, except that the adhesive
agent layer composition thus obtained was used.
(Comparative Example 3)
[0084] A patch was obtained in the same manner as in Example 1, except that: asenapine maleate
was not used, and the adhesive agent layer composition had a composition shown in
Table 1 (excluding the solvent such as toluene).
[Table 1]
| |
Example 1 |
Comparative Example 1 |
Comparative Example 2 |
Comparative Example 3 |
| sodium acetate [parts by mass] |
6 |
- |
6 |
6 |
| asenapine maleate [parts by mass] |
7 |
7 |
7 |
- |
| IPP [parts by mass] |
10 |
10 |
10 |
10 |
| SIS [parts by mass] |
18 |
18 |
18 |
18 |
| petroleum-based tackifier resin [parts by mass] |
52 |
52 |
52 |
52 |
| liquid paraffin [parts by mass] |
7 |
7 |
7 |
7 |
| total |
100 |
94 |
100 |
93 |
[0085] The particle diameter distributions of the sodium acetate used in each of Example
and Comparative Examples before mixing and of the obtained mixtures were measured.
Fig. 1 shows the particle diameter distribution curves of the sodium acetate before
mixing, that is, the sodium acetate used in each of Example and Comparative Examples,
and of the mixtures obtained in Example 1 and Comparative Example 2. Fig. 2 shows
the particle diameter distribution curves of the mixtures obtained in Example 1 and
Comparative Example 3. Moreover, Table 2 shows each of the particle diameter D
10 (µm) at a cumulative volume of 10%, the particle diameter D
50 (µm) at a cumulative volume of 50%, the particle diameter D
90 (µm) at a cumulative volume of 90%, the volume-average particle diameter (µm), and
the peak position.
[0086] As is apparent from the results shown in Table 2, the comparison between the particle
diameter distribution of the mixture prepared without using asenapine maleate (Comparative
Example 3) and the particle diameter distribution of the mixture obtained in Example
1 verified that the mixture obtained in Example 1 had a sufficiently smaller particle
diameter.
[Table 2]
| |
volume-average particle diameter (µm) |
peak position (µm) |
D10 (µm) |
D50 (µm) |
D90 (µm) |
| sodium acetate before mixing |
401 |
50, 210, 650 |
41.0 |
518 |
663 |
| Example 1 |
9.4 |
6.0 |
4.0 |
6.9 |
18.4 |
| Comparative Example 2 |
18.3 |
8.5, 22.0 |
5.6 |
14.6 |
35.3 |
| Comparative Example 3 |
14.2 |
8.5, 18.5 |
5.4 |
11.8 |
25.9 |
[0087] Moreover, the X-ray analysis was performed on each of the obtained patches. As a
result, in the patch obtained in Example 1, only a peak derived from sodium diacetate
was observed, and no peak derived from sodium acetate was observed. Meanwhile, in
the patch obtained in Comparative Example 1, neither a peak derived from sodium acetate
nor a peak derived from sodium diacetate were observed; in the patch obtained in Comparative
Example 2 , only a peak derived from sodium acetate was observed, and no peak derived
from sodium diacetate was observed. Table 3 shows the peak intensity in each patch.
[Table 3]
| |
Example 1 |
Comparative Example 1 |
Comparative Example 2 |
| sodium acetate [peak intensity] |
0 |
0 |
11900 |
| sodium diacetate [peak intensity] |
29100 |
0 |
0 |
[0088] Further, the skin permeation test was conducted on the patches obtained in Example
1 and Comparative Examples 1 and 2. Fig. 3 shows the skin permeation rates of asenapine
in the patches obtained in Example 1 and Comparative Examples 1 and 2. Fig. 4 shows
the cumulative skin permeation amounts of asenapine in the patches obtained in Example
1 and Comparative Examples 1 and 2. Note that, in Figs. 3 and 4, values of sample
liquids collected every 2 hours (at 2, 4, ..., 24 hours) are plotted against the corresponding
time.
[0089] As is apparent from the results shown in Tables 2 and 3 and Figs. 1 to 4, it was
verified that, in the method for producing a patch of the present invention, asenapine
maleate was mixed with sodium acetate whose particle diameter D
50 was within a part icular range to make the mixture have a particle diameter D
50 at a particular value or smaller, so that sodium diacetate was generated from the
sodium acetate. Moreover, it was verified that the adhesive agent layer comprised
the sodium diacetate generated from the sodium acetate, and the patch of the present
invention had a sufficient skin permeability of asenapine. Further, the degree of
the skin permeation rate decreased was low in the patch of the present invention even
with the elapse of time, indicating that the sufficient skin permeability was kept
for a long period. Furthermore, among pharmaceutical preparations of the patch obtained
by the production method of the present invention, the variation in the skin permeability
was small.
(Example 2)
[0090] First, 4.9 parts by mass of sodium acetate, 6 parts by mass of asenapine maleate
(average particle diameter: 30 µm) (the number of moles of sodium acetate:the number
of moles of asenapine maleate=4 : 1), and 29.1 parts by mass of liquid paraffin together
with 10 parts by mass of toluene were placed into a 50-mL vessel, and subjected to
contact-mixing at room temperature (25°C) for 120 minutes using a propeller mixer
with the number of revolutions of 200 rpm. Thereby, a mixture was obtained. Note that
the particle diameter distributions of the sodium acetate before mixing and the obtained
mixture in this case were measured. As a result, the sodium acetate before mixing
had D
50 of 517.6 µm, and the mixture had a particle diameter D
50 of 6.93 µm.
[0091] Then, to this mixture, 5 parts by mass of isopropyl palmitate (IPP), 15 parts by
mass of a styrene-isoprene-styrene block copolymer (SIS), 40 parts by mass of a petroleum-based
tackifier resin (trade name: ARKON, manufactured by Arakawa Chemical Industries, Ltd.),
and an appropriate amount of a solvent (toluene) were added and mixed together. Thus,
a homogeneous adhesive agent layer composition was obtained.
[0092] Subsequently, this adhesive agent layer composition was applied onto one surface
of a 75 µm-thick polyester film (release liner) having been subjected to a releasing
process in such a manner that the thickness after drying was 100 µm. Toluene was removed
by drying at 60 °C for 20 minutes. Thus, an adhesive agent layer was formed. Thereafter,
a 25 µm-thick polyester film (support layer) was laminated on a surface of the adhesive
agent layer, the surface being opposite to the release liner, followed by cutting
to thus obtain a patch.
[0093] The X-ray analysis was performed on the obtained patch. As a result, only a peak
derived from sodium diacetate was observed, and no peak derived from sodium acetate
was observed. The content of the sodium diacetate in 100 parts by mass of the adhesive
agent layer (the layer after toluene (solvent) was removed from the adhesive agent
layer composition) in this case was 4.9 parts by mass (the number of moles of sodium
diacetate:the number of moles of asenapine maleate=2:1). Table 4 shows the composition
of the adhesive agent layer. Moreover, Table 4 also shows the amount of the sodium
acetate added.
(Example 3)
[0094] A patch was obtained in the same manner as in Example 2, except that: the amount
of asenapine maleate was 12 parts by mass, the amount of sodium acetate was 7.3 parts
by mass (the number of moles of sodium acetate: the number of moles of asenapine maleate=3:1),
and the amount of liquid paraffin was 20.7 parts by mass. Table 4 shows the composition
of the adhesive agent layer in this case.
(Example 4)
[0095] A patch was obtained in the same manner as in Example 2 , except that: the amount
of asenapine maleate was 17 parts by mass, the amount of sodium acetate was 8.7 parts
by mass (the number of moles of sodium acetate:the number of moles of asenapine maleate=2.5:1),
and the amount of liquid paraffin was 14.3 parts by mass. Table 4 shows the composition
of the adhesive agent layer in this case.
(Example 5)
[0096] A patch was obtained in the same manner as in Example 1, except that: isopropyl palmitate
(IPP) was not used, and the amount of liquid paraffin was 34.1 parts by mass. Table
5 shows the composition of the adhesive agent layer in this case.
(Examples 6 to 11)
[0097] Patches were obtained in the same manner as in Example 2, except that myristyl alcohol,
oleic acid, propylene glycol, octyldodecanol, oleyl alcohol, and lauryl alcohol were
respectively used in place of isopropyl palmitate (IPP) Table 5 shows the compositions
of the adhesive agent layers in this case.
[0098] The skin permeation test was conducted on the patches obtained in Examples 2 to 11.
Fig. 5 shows a relation between the elapsed time from the application (Time [hr])
and the skin permeation rates of asenapine (Flux [µg/cm
2/hr]) in the patches obtained in Examples 2 and 5 to 11. Fig. 6 shows the relation
regarding the patches obtained in Examples 2 to 4. Moreover, Tables 4 and 5 each show
the maximum skin permeation rates [µg/cm
2/hr] and the availability ratios [%] of asenapine. Note that, in Figs. 5 and 6, values
of sample liquids collected every 2 hours or 4 hours (at 2, 4, 6, ... 22, 24 hours;
or at 4, 8, 12, ···, 20, 24 hours) were plotted at every middle time point of the
aforementioned time interval (at 1, 3, 5, ..., 23 hours; or at 2, 6, 10, ···, 22 hours).
[0099] Further, the AUC measurement test was conducted on the patch obtained in each Example.
Table 4 shows the AUC (AUC
2-120 [pg·hr/mL]) of each of the asenapine and the asenapine metabolite in the patch obtained
in Example 2. Additionally, Table 5 shows the AUC (AUC
2-120 [pg·hr/mL]) of the asenapine obtained by multiplying the AUC of the asenapine in
Example 2 by a ratio of a value of the cumulative skin permeation amount of the drug
in 24 hours obtained by the skin permeation test in each of Examples 5 to 11 to the
value in Example 2.
[0100] Furthermore, in a case where the patch obtained in Example 2 was administrated, the
incidence proportion of adverse effects on the cardiovascular system in the AUC measurement
test was 6%. Note that when 5 mg of asenapine maleate was orally administered (sublingual
administration) to the healthy adult men (18 people), the average value of the area
under plasma concentration-time curve of the free asenapine for a period between 10
minutes and 72 hours after the administration (AUC
0.17 - 72) was 32,074 pg·hr/mL, the average value of the AUC
0.17-72 of the N-desmethyl asenapine was 14,299 pg·hr/mL, and the incidence proportion of
adverse effects on the cardiovascular system was 39%.
[Table 4]
| |
Example 2 |
Example 3 |
Example 4 |
| asenapine maleate [parts by mass] |
6 |
12 |
17 |
| (in terms of free form [parts by mass]) |
(4.3) |
(8.5) |
(12.1) |
| sodium diacetate [parts by mass] |
4.9 |
7.3 |
8.7 |
| (amount of sodium acetate added [parts by mass]) |
(4.9) |
(7.3) |
(8.7) |
| IPP [parts by mass] |
5 |
5 |
5 |
| SIS [parts by mass] |
15 |
15 |
15 |
| petroleum-based tackifier resin [parts by mass] |
40 |
40 |
40 |
| liquid paraffin [parts by mass] |
29.1 |
20.7 |
14.3 |
| total |
100 |
100 |
100 |
| maximum skin permeation rate [µg/hr/cm2] |
18.6 |
36.4 |
57.9 |
| availability ratio [%] |
58.9 |
55.2 |
62.2 |
| asenapine AUC2-120 [pg*hr/mL] |
33981 |
- |
- |
| asenapine metabolite AUC2-120 [pg*hr/mL] |
5432 |
- |
- |
[Table 5]
| |
Example 5 |
Example 6 |
Example 7 |
Example 8 |
Example 9 |
Example 10 |
Example 11 |
| asenapine maleate [parts by mass] |
6 |
6 |
6 |
6 |
6 |
6 |
6 |
| (in terms of free form [parts by mass]) |
(4.3) |
(4.3) |
(4.3) |
(4.3) |
(4.3) |
(4.3) |
(4.3) |
| sodium diacetate [parts by mass] |
4.9 |
4.9 |
4.9 |
4.9 |
4.9 |
4.9 |
4.9 |
| (amount of sodium acetate added [parts by mass]) |
(4.9) |
(4.9) |
(4.9) |
(4.9) |
(4.9) |
(4.9) |
(4.9) |
| myristyl alcohol [parts by mass] |
- |
5 |
- |
- |
- |
- |
- |
| oleic acid [parts by mass] |
- |
- |
5 |
- |
- |
- |
- |
| propylene glycol [parts by mass] |
- |
- |
- |
5 |
- |
- |
- |
| Octyldodecanol [parts by mass] |
- |
- |
- |
- |
5 |
- |
- |
| oleyl alcohol [parts by mass] |
- |
- |
- |
- |
- |
5 |
- |
| lauryl alcohol [parts by mass] |
- |
- |
- |
- |
- |
- |
5 |
| SIS [parts by mass] |
15 |
15 |
15 |
15 |
15 |
15 |
15 |
| petroleum-based tackifier resin [parts by mass] |
40 |
40 |
40 |
40 |
40 |
40 |
40 |
| liquid paraffin [parts by mass] |
34.1 |
29.1 |
29.1 |
29.1 |
29.1 |
29.1 |
29.1 |
| total |
100 |
100 |
100 |
100 |
100 |
100 |
100 |
| maximum skin permeation rate [µg/hr/cm2] |
11.7 |
10.5 |
5.4 |
11.7 |
8.4 |
9.5 |
9.8 |
| availability ratio [%] |
36.7 |
27.4 |
14.0 |
29.5 |
23.7 |
26.3 |
28.2 |
| asenapine AUC2-120 [pg*hr/mL] |
21173 |
15808 |
8077 |
17019 |
13673 |
15173 |
16269 |
[0101] As is apparent from the results shown in Tables 4 and 5 and Figs. 5 and 6, it was
verified that the patch of the present invention had a sufficient skin permeability
of asenapine without incorporating acetic acid or sodium acetate. Moreover, it was
verified that particularly in the case where the adhesive agent layer in the patch
of the present invention comprised isopropyl palmitate, it was made possible to achieve
a higher plasma concentration of asenapine at a therapeutically effective level. Further,
it was verified that such a patch comprising isopropyl palmitate in an adhesive agent
layer as described above was capable of sufficiently suppressing the plasma concentration
of the asenapine metabolite , and suppressing adverse effects.
[Industrial Applicability]
[0102] As described above, the present invention makes it possible to provide a patch and
a method for producing the same, the patch having a sufficiently high skin permeability
of asenapine without incorporating an organic acid in an adhesive agent layer, and
being excellent in stability over time of the skin permeability. Moreover, the method
for producing a patch of the present invention has no need for adding an organic acid
such as acetic acid at the time of production, hence making it possible to reduce
the variation in the skin permeability of the drug among pharmaceutical preparations
to be obtained.